| NPI | 1154409662 |
|---|---|
| Doing Business As | WILLOW PLACE |
| Entity Type | Organization |
| Authorized Contact | JOSEPH C TUTERA Owner 816-444-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC HAL083012) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2016-01-15 |